Active NPI
Austin Keith Heavener, PHARMD
- Pharmacist
- Great Bend, KS
National Provider Identifier
1861988339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-105891
- Practice address
- 3503 10TH St
Great Bend, KS 67530-3538 - Phone
- (620) 792-5237
- NPI assigned
- Jul 7, 2018
- Last updated
- Jul 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-105891 | KS | Primary |
Addresses
Primary practice location
3503 10TH St
Great Bend, KS 67530-3538
Mailing address
1935 US Highway 54
Eureka, KS 67045-4540
Phone (620) 794-4859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-105891 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1861988339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 US HIGHWAY 54",
"city": "EUREKA",
"state": "KS",
"postal_code": "670454540",
"telephone_number": "620-794-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 10TH ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303538",
"telephone_number": "620-792-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVENER",
"first_name": "AUSTIN",
"middle_name": "KEITH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-07",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-105891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Bend, KS
- Heart of Kansas Family Health Care, Inc.
- Heart of Kansas Family Health Care, Inc.
- Heart of Kansas Family Health Care, Inc.
- Heartland Oncology, LLC
- Heartland Regional OBGYN, PA
- Thomas John Hegarty, M.D.
- Geraldine L Heil
- Sheila Kay Hein, ARNP
- Stephen P Heit, MA LMCP LCP
- Michaela Heitschmidt, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.